Susan A Shively (NPI# 1972656379, PAC ID# 1153420443) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972656379 |
| PAC ID by PECOS | 1153420443 |
| Professional Enrollment ID | I20070627000575 |
| Full Name | Susan A Shively |
| Address |
1700 Old Lebanon Rd Campbellsville KY 42718-9615 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180087 | TAYLOR REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 88% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 63% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 20% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 83% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 1% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
1700 OLD LEBANON RD |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip | 42718-9615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashlie Camp | Nurse Practitioner | Southeastern Emergency Services P C | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9600 |
| Dorothy M Dudley | Nurse Practitioner | Taylor Regional Medical Group, LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 |
| Sean T Desimone | Internal Medicine | Taylor Regional Medical Group, LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 |
| Gary M Frazier | Anesthesiology | Taylor County Anesthesia Psc | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 |
| Paul D Thomas | Emergency Medicine | Southeastern Emergency Physicians LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 |
| Sunnie D Monin | Certified Registered Nurse Anesthetist (crna) | Taylor County Anesthesia Psc | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 |
| Stephanie Whitlock | Nurse Practitioner | Taylor Regional Medical Group, LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 |
| Tanya M Hayes | Internal Medicine | Taylor Regional Medical Group, LLC | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9662 |
| Andrew J Hancock | Certified Registered Nurse Anesthetist (crna) | Taylor County Anesthesia Psc | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 |
| Joel D Eade | Internal Medicine | 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellee D Frogge | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Summer Raye Tucker | Family Medicine | 410 Hotchkiss St, Campbellsville, KY 42718-1340 | |
| Vicki Lou Van Cleave | Psychologist, Clinical | 112 Roberts Rd, Suite 1, Campbellsville, KY 42718-1593 | |
| Abrielle D Conway | Clinical Psychologist | 112 Roberts Rd, Unit 1, Campbellsville, KY 42718-1593 | |
| Lora D Sztendera | Family Medicine | 407 E 1st St, Campbellsville, KY 42718-1836 | |
| Raymond A Roberts | Chiropractic | 108 Lebanon Ave, Campbellsville, KY 42718-1839 | |
| Eugene H Shively | General Surgery | Taylor Regional Medical Group, LLC | 522 N Hoskins Ave, Campbellsville, KY 42718-2117 |
| Deborah K Gabbert | Qualified Speech Language Pathologist | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Kyle B Salsbury | Physical Therapy | Orthodyne, LLC | 190 W Broadway St, Suite 103, Campbellsville, KY 42718-2281 |
| Mark A Risen | Podiatry | 1003 Old Greensburg Rd, Campbellsville, KY 42718-2571 | |
| Find all physicians in zip 42718 | |||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CAMPBELLSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan A Shively.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.